Laserfiche WebLink
IMNI <br /> TL <br /> STL San Francisca <br /> Sample Receipt Checklist <br /> Submission #.2004.—// <br /> Chcckllst ctarrapletcd by, (rnctrals)_Q�_ bate �104 <br /> Ccurser n-,]me GSTL$an Fraressw 0 C 1,em ' V <br /> Custad sr;, is intact on sits <br /> Not <br /> Y ppniq contajnerlsamples Ye<s t:la Present__ <br /> Chain Of,custody Present, Yes s' No <br /> Chain of custody signed when relinquIS17ed and reoniv edl Yes <br /> Chain of cusiody acre+es,valla 4arnple labels' <br /> S'.1m ales in proper contarnarlbo'WO Yes °r Nq <br /> smple ccnta r4rs rsatar;? <br /> Sufficient sr relate volurrje for Ind, aced tes17 Yes w`O NQ <br /> All sarnples received vathln holding Jure? Yep � No <br /> Contninerriemp Blank temperatufe on compliance(46 C Z)? Teirafs�_`C Yes <br /> Polcntial rea�,un for}WC-Ice reeked 0 Ice In bag:, 0 Not enough ice C Not enough blue Ice 0 Samples in boxes 13 <br /> Sampled<4hr ago?© lce<Drat required{q g air�r bulk sample <br /> t Present Yep NO—tz <br /> Wafer 'VOA %..Is have tette hend$paCc.7 No VOA vrkzs-ubmltroj C `lam NO <br /> (df bubols j5 presrtrit, refer to apprO!41 ta;e buUble stzo and lteTntte M C•MMir nts a>5 --0), PA (irrediurn- O) cr L(lnrga- o <br /> V'4'ater-pld acceptable upon receipt? O Yes 0 ,4o <br /> Ct pH adjusted- Preservative usk d 0 la40i© HC1 L Hi,804 CI Na011 0 7-nCAc-Lot m(s) <br /> For any item check-listed "Eula" provided detail of discrepancy in comment section below <br /> Project Management [ touting for instruction of indicated dlscrepancy(tes)j <br /> Project Manager (inrttals) Late —1 104 CItent o: rntacied 0 Yes ® No <br /> Summary of discussion <br /> Crrree;ttve Action(per PMIClrent) <br />